Photoacoustic microscopy (PAM), due to its deep penetration depth and high contrast, is playing an increasingly important role in biomedical imaging. PAM imaging systems equipped with conventional ultrasound transducers have demonstrated excellent imaging performance. However, these opaque ultrasonic transducers bring some constraints to the further development and application of PAM, such as complex optical path, bulky size, and difficult to integrate with other modalities. To overcome these problems, ultrasonic transducers with high optical transparency have appeared. At present, transparent ultrasonic transducers are divided into optical-based and acoustic-based sensors. In this paper, we mainly describe the acoustic-based piezoelectric transparent transducers in detail, of which the research advances in PAM applications are reviewed. In addition, the potential challenges and developments of transparent transducers in PAM are also demonstrated.